Provider Demographics
NPI:1861883696
Name:AUCHENBACH, MARIE (RN, MSN, FNP)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:AUCHENBACH
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2955 HARRISON ST
Mailing Address - Street 2:SUITE # 204
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1154
Mailing Address - Country:US
Mailing Address - Phone:409-236-7246
Mailing Address - Fax:409-236-1611
Practice Address - Street 1:2955 HARRISON ST
Practice Address - Street 2:SUITE # 204
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1154
Practice Address - Country:US
Practice Address - Phone:409-236-7246
Practice Address - Fax:409-236-1611
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127206363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily